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A rare but life-threatening complication of ventriculo-atrial shunt.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Insertion
of
ventriculoperitoneal
and
ventriculoatrial
shunts
is
routinely
performed
.
Infarction
pneumonia
and
atrial
thrombus
formation
are
described
as
very
rare
complications
of
ventriculoatrial
shunts
.
We
present
the
case
of
a
female
patient
with
ventriculoatrial
shunt
insertion
as
long
term
treatment
for
aequeductal
stenosis
who
presented
with
recurrent
episodes
of
dyspnoea
,
chest
pain
,
and
unilateral
pleural
effusion
.
Diagnostic
evaluation
revealed
a
positive
D-
dimer
test
,
bilateral
basal
infiltrates
and
pleural
effusion
.
Transesophageal
echocardiography
established
the
diagnosis
of
a
thrombus
in
the
right
atrium
.
Laboratory
testing
for
thrombophilia
revealed
a
homozygous
factor
V
Leiden
mutation
.
In
the
following
,
a
shunt
revision
was
performed
.
Diseases
Validation
Diseases presenting
"atrial thrombus formation are described as very rare complications of ventriculoatrial shunts"
symptom
hydrocephalus with stenosis of the aqueduct of sylvius
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